Organization
AUSTIN PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JULIE S. BELLONE PT (OWNER)
(315) 539-4683
Entity
Organization
Contact information
Practice address
1282 WATERLOO GENEVA RD, WATERLOO, NY 13165-1208
(315) 539-4683
(315) 539-4684
Mailing address
1282 WATERLOO GENEVA RD, WATERLOO, NY 13165-1208
(315) 539-4683
(315) 539-4684
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
012318-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100334FT
PREFERREDCARE GROUP #
NY
01
—
P010012318
BLUE CHOICE GROUP NUMBER
NY
Enumeration date
06/18/2006
Last updated
11/11/2014
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